Active NPI
Keveyonna Davis, LMT
- Massage Therapist
- Lacey, WA
National Provider Identifier
1720539281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60689845
- Practice address
- 677 Woodland Square Loop SE Ste A17
Lacey, WA 98503-1000 - Phone
- (360) 777-7139
- NPI assigned
- Oct 19, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60689845 | WA | Primary |
Addresses
Primary practice location
677 Woodland Square Loop SE Ste A17
Lacey, WA 98503-1000
Mailing address
677 Woodland Square Loop SE Ste A17
Lacey, WA 98503-1000
Phone (360) 777-7139
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641427200000",
"number": "1720539281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "677 WOODLAND SQUARE LOOP SE STE A17",
"city": "LACEY",
"state": "WA",
"postal_code": "985031000",
"telephone_number": "360-777-7139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "677 WOODLAND SQUARE LOOP SE STE A17",
"city": "LACEY",
"state": "WA",
"postal_code": "985031000",
"telephone_number": "360-777-7139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "KEVEYONNA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-19",
"last_updated": "2022-01-06",
"certification_date": "2022-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60689845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lacey, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.